Thanks for Attending!

Join Today to Receive Our Welcome Offer

Thanks for attending our ‘Future-Proof Your Practice’ event! If you have a passion for utilizing the latest technology to offer the best patient experience, want to maximize the value of your practice, or care about propelling the dental industry in a more sustainable and eco-friendly direction, fill out the short form below and we will be in touch soon.

Name

Practice

Practice Address

Your Phone

Does your office have the capability to take 3D imagery (i.e. iTermo, Trios, etc.)?
YesNo

In an average month, how many patients do you refer to an orthodontist?

Do you charge a transfer fee for records to orthodontists to whom you refer patients?
YesNo

Would you be interested in being compensated for taking basic diagnostics on potential aligner patients?
YesNo

Would you be interested in being listed on the Clear Blue Smiles dentist locator on clearbluesmiles.com?
YesNo

How do you prefer we follow-up with you? Email or phone call?
EmailPhone

Let’s Talk

Looking for a little more info before you fill out the form? No problem! Schedule a call with one of our founders, Dr. Gaudreault, DDS., to talk more about your business, goals, and how Clear Blue Smiles can help prepare your office for the future of orthodontics. Afterwards, we’ll send you a $100 Amazon gift card – just think of it as our little way of saying thank-you for your time!